<!DOCTYPE html> 
<html lang="zh-CN">
<head> 
	<meta http-equiv="X-UA-Compatible" content="IE=Edge">
	<meta charset="utf-8">
	<title></title>
	<link rel="stylesheet" type="text/css" href="${request.contextPath}/css/table/dial/reset.css" />
	<link rel="stylesheet" type="text/css" href="${request.contextPath}/css/table/dial/table_01.css" />
	<link rel="stylesheet" type="text/css" href="${request.contextPath}/css/dist/select2.min.css" />
	<link rel="stylesheet" type="text/css" href="${request.contextPath}/css/system/systemThree.css" />
	<script type="text/javascript" src="${request.contextPath}/js/dist/jquery-2.1.4.min.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/dist/jquery.validate.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/dist/jquery.metadata.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/dist/select2.min.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/dist/My97DatePicker/WdatePicker.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/dist/layer/layer.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/public.js"></script>
	<script type="text/javascript" src="${request.contextPath}/js/member/add.js"></script>
	<script type="text/javascript">
		var webroot = '${request.contextPath}';
	</script>
</head>
<body>
	<div class="table_01_wrap">
		<form id="memberForm" method="post">
		
		<div class="title">
			<p>会员基本信息</p>
		</div>
        <table>
            
            <tr>
                <td>姓</td>
                <td><input type="text" name="surname" id="surname"/></td>
                <td>名</td>
                <td><input type="text" name="name" id="name"/></td>
                <td>英文名</td>
                <td><input type="text" name="enName" id="enName"/></td>
            </tr>
            <tr>
                <td>性别</td>
                <td>
                	<input type="radio"  name="sex" value="1">男
                    <input type="radio" name="sex" value="2">女
                </td>
                <td>微信号</td>
                <td><input type="text" name="wechatNum" id="wechatNum"/></td>
                <td>手机号</td>
                <td><input type="text" name="mobile" id="mobile"/></td>
            </tr>
            <tr>
                <td>电话</td>
                <td><input type="text" name="telephone" id="telephone"/></td>
                <td>工作电话</td>
                <td><input type="text" name="workTel" id="workTel"/></td>
                <td>家庭电话</td>
                <td><input type="text" name="familyTel" id="familyTel"/></td>
            </tr>
            <tr>
                <td>邮箱1</td>
                <td><input type="text" name="email1" id="email1"/></td>
                <td>邮箱2</td>
                <td><input type="text" name="email2" id="email2"/></td>
                <td>邮箱3</td>
                <td><input type="text" name="email3" id="email3"/></td>
            </tr>
            <tr>
                <td>感兴趣的产品</td>
                <td colspan="5">
                	<select name="intentionService" id="intentionService"  style="width:100%">
					</select>
                </td>
            </tr>
            <tr>
                <td>客户种类</td>
                <td colspan="5">
                	<select name="custType" id="custType"  style="width:100%">
					</select>
                </td>
            </tr>
            <tr>
                <td>生日</td>
                <td>
                	<input type="text" name="birthday" id="birthday"  onfocus="WdatePicker({dateFmt:'yyyy-MM-dd'})" class="ca_control Wdate">
                </td>
                <td>年龄</td>
                <td><input type="text" name="age" id="age"/></td>
                <td>时区</td>
                <td><input type="text" name="timeZone" id="timeZone"/></td>
            </tr>
            
           <tr>
                <td>婚姻状况</td>
                <td>
                	<input type="radio"  name="maritalStatus" value="10">未婚
                    <input type="radio" name="maritalStatus" value="20">已婚
                    <input type="radio" name="maritalStatus" value="30">离婚
                </td>
                <td>职业</td>
                <td><input type="text" name="profession" id="profession"/></td>
                <td>职位</td>
                <td><input type="text" name="job" id="job"/></td>
            </tr>
            
            <tr>
                <td>讲座参与通知</td>
                <td>
                	<input type="radio"  name="lectureNotice" value="0">不参与
                    <input type="radio" name="lectureNotice" value="1">参与
                </td>
                <td>决定权</td>
                <td>
                	<input type="radio"  name="jdq" value="0">否
                    <input type="radio" name="jdq" value="1">是
                </td>
                <td>最佳联系时间</td>
                <td>
                	<input type="text" name="contactTime" id="contactTime" >
                </td>
            </tr>
            <tr>
                <td>邮寄地址</td>
                <td colspan="5"><input type="text" name="mailingAddr" id="mailingAddr"/></td>
            </tr>
            <tr>
                <td>家庭地址</td>
                <td colspan="5"><input type="text" name="familyAddr" id="familyAddr"/></td>
            </tr>
            <tr>
                <td>回访时间</td>
                <td>
                	<input type="text" name="revisitDate" id="revisitDate"  onfocus="WdatePicker({dateFmt:'yyyy-MM-dd'})" class="ca_control Wdate">
                </td>
                <td>每15天回访</td>
                <td>
                	<input type="radio"  name="ifFifteenRevisit" value="0">否
                    <input type="radio" name="ifFifteenRevisit" value="1">是
                </td>
                <td>闲余资金</td>
                <td><input type="text" name="idleFunds" id="idleFunds"/></td>
            </tr>
            <tr>
                <td>目前年收入</td>
                <td><input type="text" name="annualIncome" id="annualIncome"/></td>
                <td>近两年平均收入</td>
                <td><input type="text" name="twoYearIncome" id="twoYearIncome"/></td>
                <td>净资产超百万</td>
                <td>
                	<input type="radio"  name="ifAssetsMillion" value="0">否
                    <input type="radio" name="ifAssetsMillion" value="1">是
                </td>
            </tr>
            <tr>
                <td>备注 :</td>
                <td colspan="7"><textarea name="remarks" id="remarks"></textarea></td>
            </tr>
		</table>
		<div class="submit">
			<span>提交</span>
		</div>
		</form>
    </div>
	
</body>
</html>